Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant

<i>Background and Objectives</i>: With the emergence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), it has become necessary to identify the implant shell type patients have received. Therefore, an immediate, reliable method for identifying a breast implant shell...

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Main Authors: Yang-Hee Kim, Dong-Wook Park, Keun-Yeong Song, Hyung-Guhn Lim, Jeong-Pil Jeong, Jae-Hong Kim
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/6/1092
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author Yang-Hee Kim
Dong-Wook Park
Keun-Yeong Song
Hyung-Guhn Lim
Jeong-Pil Jeong
Jae-Hong Kim
author_facet Yang-Hee Kim
Dong-Wook Park
Keun-Yeong Song
Hyung-Guhn Lim
Jeong-Pil Jeong
Jae-Hong Kim
author_sort Yang-Hee Kim
collection DOAJ
description <i>Background and Objectives</i>: With the emergence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), it has become necessary to identify the implant shell type patients have received. Therefore, an immediate, reliable method for identifying a breast implant shell type is essential. Evidence-based research and applying a real-world technique that identifies the surface topographic information of the inserted breast implants, without surgery, has become of paramount importance for breast implant physicians. <i>Methods and Materials</i>: A review of the medical records of 1901 patients who received 3802 breast implants and subsequently received an ultrasound-assisted examination was performed. All patients received not only a breast cancer examination but also a high-resolution ultrasonography (HRUS) assisted examination of the device at a single center between 31 August 2017 and 31 December 2022. <i>Results</i>: Most patients had breast implants within 10 years (77.7%) of the examination. Of the 3802 implants screened, 2034 (53.5%) were identified with macro-textured shell topography in ultrasonography. A macrotextured shell type implant was used in 53.5% of cases and a smooth type in 42.7% of cases. Seventy-three (1.9%) breast implant shell types could not be identified due to ruptures. However, 250 breast implant shell types could be identified despite rupture cases (6.5%). <i>Conclusions</i>: HRUS was found to be a useful and reliable image modality for identifying various surface shell types of breast implants. The shell type information would be helpful to patients who lack information about their breast implants and are concerned about BIA-ALCL.
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spelling doaj.art-a9d6d5573c6149918275a47c7f0a79fe2023-11-18T11:31:21ZengMDPI AGMedicina1010-660X1648-91442023-06-01596109210.3390/medicina59061092Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast ImplantYang-Hee Kim0Dong-Wook Park1Keun-Yeong Song2Hyung-Guhn Lim3Jeong-Pil Jeong4Jae-Hong Kim5Department of Surgery, Kangwon National University, Chuncheon 24289, Republic of KoreaVenus Women’s Clinic, Seoul 07727, Republic of KoreaDepartment of Breast Surgery, Gwangju Suwan Hospital, Gwangju 62247, Republic of KoreaDepartment of Radiology, Gwangju Suwan Hospital, Gwangju 62247, Republic of KoreaSamsungyubang Breast Clinic, Busan 48104, Republic of KoreaThe W Clinic, Seoul 06038, Republic of Korea<i>Background and Objectives</i>: With the emergence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), it has become necessary to identify the implant shell type patients have received. Therefore, an immediate, reliable method for identifying a breast implant shell type is essential. Evidence-based research and applying a real-world technique that identifies the surface topographic information of the inserted breast implants, without surgery, has become of paramount importance for breast implant physicians. <i>Methods and Materials</i>: A review of the medical records of 1901 patients who received 3802 breast implants and subsequently received an ultrasound-assisted examination was performed. All patients received not only a breast cancer examination but also a high-resolution ultrasonography (HRUS) assisted examination of the device at a single center between 31 August 2017 and 31 December 2022. <i>Results</i>: Most patients had breast implants within 10 years (77.7%) of the examination. Of the 3802 implants screened, 2034 (53.5%) were identified with macro-textured shell topography in ultrasonography. A macrotextured shell type implant was used in 53.5% of cases and a smooth type in 42.7% of cases. Seventy-three (1.9%) breast implant shell types could not be identified due to ruptures. However, 250 breast implant shell types could be identified despite rupture cases (6.5%). <i>Conclusions</i>: HRUS was found to be a useful and reliable image modality for identifying various surface shell types of breast implants. The shell type information would be helpful to patients who lack information about their breast implants and are concerned about BIA-ALCL.https://www.mdpi.com/1648-9144/59/6/1092breast implantsultrasonographytopographymedicalmedical recordlymphoma
spellingShingle Yang-Hee Kim
Dong-Wook Park
Keun-Yeong Song
Hyung-Guhn Lim
Jeong-Pil Jeong
Jae-Hong Kim
Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
Medicina
breast implants
ultrasonography
topography
medical
medical record
lymphoma
title Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
title_full Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
title_fullStr Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
title_full_unstemmed Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
title_short Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant
title_sort use of high resolution ultrasound in characterizing the surface topography of a breast implant
topic breast implants
ultrasonography
topography
medical
medical record
lymphoma
url https://www.mdpi.com/1648-9144/59/6/1092
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